Form Dd 2660 PDF Details

Form DD 2660 is a fairly simple form that is used to notify the IRS of an organization's change in its address. This form must be completed and filed within 60 days of the change in address, and can be either mailed or filed electronically. The information on this form is used by the IRS to keep track of organizations' addresses and contact information. Completing and filing this form correctly is important to ensure that your organization can continue to receive mail from the IRS without any delays.

QuestionAnswer
Form NameForm Dd 2660
Form Length2 pages
Fillable?No
Fillable fields0
Avg. time to fill out30 sec
Other namesdd form 2660, dd 2660, dd2660 fillable, dd2660 form

Form Preview Example

STATEMENT OF CLAIMANT REQUESTING REPLACEMENT CHECK

OMB No. 0730-0002

OMB approval expires

 

Mar 31, 2017

The public reporting burden for this collection of information is estimated to average 5 minutes per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing the burden, to the Department of Defense, Washington Headquarters Services, Executive Services Directorate, Directives Division, 4800 Mark Center Drive, Alexandria, VA 22350-3100 (0730-0002). Respondents should be aware that notwithstanding any other provision of law, no person shall be subject to any penalty for failing to comply with a collection of information if it does not display a currently valid OMB control number.

PLEASE DO NOT RETURN YOUR FORM TO THE ABOVE ORGANIZATION. RETURN IT TO THE ADDRESS OF THE AGENCY WHO PROVIDED THIS FORM.

PRIVACY ACT STATEMENT

AUTHORITY: 5 U.S.C. 301, Departmental Regulations; Department of Defense Financial Management Regulation (DoDFMR) 7000.14-R, Volume 5; 31 U.S.C. Sections 3511, 3512, and 3513; and E.O. 9397 (SSN) (as amended).

PRINCIPAL PURPOSE(S): To be used by intended recipients of U.S. Treasury checks to request a replacement for a lost, stolen, destroyed, or mutilated check, or one canceled due to limited payability. Disbursing Offices will use the information to make the determination to issue a replacement check based on the information provided, and for canceling the original check. The information will also verify a proper mailing address for the claimant. Applicable SORN: T7901 (http://dpcld.defense.gov/privacy/SORNsIndex/DODwideSORNArticleView/tabid/6797/Article/6287/t7901.aspx).

STANFINS PIA (http://www.dfas.mil/foia/privacyimpactassessments.html).

ROUTINE USE(S): In addition to those disclosures generally permitted under 5 U.S.C. Section 552a of the Privacy Act, as amended, this information may be disclosed to the Department of Justice of U.S. Treasury for law enforcement purposes. It may also be disclosed for any of the "Blanket Routine Uses" as published in the Federal Register at the beginning of the DoD compilation of PA system notices. (http://dpcld.defense.gov/privacy/SORNs/component/dfas/preamble.html)

DISCLOSURE: Disclosure is voluntary; however, failure to disclose the requested data may prevent issuance of a replacement check. The Social Security Number is requested to verify the claimant and certify what happened to the original check issued by the government.

WARNING: Title 18, Sec 287, US Code: "Whoever makes or presents to any person or officer in the civil, military, or naval service of the United States, or to any department or agency thereof, any claim upon or against the United States, or any department or agency thereof, knowing such claim to be false, fictitious, or fraudulent, shall be imprisoned not more than five years and shall be subject to a fine in the amount provided in this title."

1.PAYEE (Show business name or financial organization, if applicable)

2. SSN/EIN

3.

TELEPHONE NUMBER (Include area code)

4. E-MAIL ADDRESS

 

 

 

 

 

5.

ACCOUNT TO BE CREDITED IF ITEM 1 IS A

FINANCIAL ORGANIZATION

 

 

 

 

 

6.

ADDRESS TO WHICH CHECK WAS MAILED (Include 9-digit ZIP Code)

7. CORRECT MAILING ADDRESS (If different from Item 6)

8. PURPOSE FOR WHICH CHECK WAS ISSUED (X as applicable)

d. OTHER

 

 

9. DATE DUE (Approximate)

 

a. REGULAR PAY

 

b. TRAVEL PAY

 

c. VENDOR PAY

 

 

 

 

 

 

 

 

 

 

 

(Specify)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

10. CHECK WAS: (X as applicable)

 

 

 

 

 

 

11. WAS CHECK

 

 

a. NOT RECEIVED

 

 

b. RECEIVED,

 

(1) LOST

 

(3) DESTROYED

 

(5) CANCELED (LIMITED

 

ENDORSED? (X one)

 

 

 

 

 

 

PAYABILITY)

 

 

 

 

 

 

 

BUT:

 

(2) STOLEN

 

(4) MUTILATED

 

 

a. YES

 

b. NO

 

 

 

 

 

 

 

 

 

 

CERTIFICATION

I certify that I (we) have in no way benefitted from the proceeds of the above check, and do hereby request a replacement check be issued to me. I further certify that if I recover the original check, I will not negotiate it but will immediately return it to the Disbursing Office. I fully understand that negotiation of both the original and replacement check constitutes a fraudulent act against the United States Government and as such is subject to punishment as provided by law. I further consent to immediate recoupment from future pay and allowances due me if I negotiate both the original and replacement checks, including interest and administrative costs.

12.SIGNATURE OF PAYEE (Or payee representative)

13. DATE

14. SIGNATURE OF CO-PAYEE (If applicable)

15. DATE

FOR DISBURSING OFFICE USE

16. CHECK DATA

a. CHECK NUMBER

17. DO REMARKS

b. DATE OF CHECK

c. CHECK AMOUNT

d. ISSUING DSSN

e. VOUCHER NUMBER

DD FORM 2660, AUG 2015

PREVIOUS EDITION IS OBSOLETE.

Adobe Professional X

INSTRUCTIONS FOR COMPLETING STATEMENT OF CLAIMANT REQUESTING REPLACEMENT CHECK

1.

PAYEE

Payee name, business name or financial organization.

 

 

 

 

 

2.

PAYEE’S SSN/EIN

Payee’s SSN (for individual) or EIN (for business).

 

 

 

 

 

3.

TELEPHONE NUMBER

Payee Telephone Number.

 

 

 

 

 

4.

E-MAIL ADDRESS

Payee e-mail address.

 

 

 

 

 

5.

ACCOUNT TO BE

Enter account number to have been credited.

 

CREDITED IF ITEM 1 IS A

 

 

 

 

FINANCIAL

 

 

 

 

ORGANIZATION

 

 

 

 

 

 

 

 

6.

ADDRESS TO WHICH

Address on file.

 

CHECK WAS MAILED

 

 

 

 

 

 

 

 

7.

CORRECT MAILING

New Address.

 

ADDRESS

 

 

 

 

 

 

 

 

8.

PURPOSE FOR WHICH

 

a. REGULAR PAY

 

CHECK WAS ISSUED

 

b. TRAVEL PAY

 

 

 

c. VENDOR PAY

 

 

 

d. OTHER (specify what type of pay)

 

 

 

 

 

9.

DUE DATE

Date check was due to arrive.

 

 

 

 

10. CHECK WAS:

X as applicable:

 

 

 

a. NOT RECEIVED

 

 

 

b. RECEIVED BUT:

 

 

 

(1) LOST

 

 

 

(2) STOLEN

 

 

 

(3) DESTROYED

 

 

 

(4) MUTILATED

 

 

 

(5) CANCELED (LIMITED PAYABILITY)

 

 

 

 

11. WAS CHECK ENDORSED?

Answer Yes or No.

12.SIGNATURE OF PAYEE Signature of the Payee or payee representative.

13.

DATE

Self Explanatory

 

 

 

14.

SIGNATURE OF CO-PAYEE

Signature of Co-Payee (if applicable).

 

 

15. DATE

Self Explanatory.

 

 

16. CHECK DATA

For Disbursing Office Use.

 

16a.

CHECK NUMBER

 

 

16b. DATE OF CHECK

 

 

16c.

CHECK AMOUNT

 

 

16d. ISSUING DSSN

 

 

16e.

VOUCHER NUMBER

 

17.DO REMARKS

DDFORM 2660 (BACK), AUG 2015

How to Edit Form Dd 2660 Online for Free

When working in the online PDF editor by FormsPal, you can easily complete or change dd form 2660 pdf here. In order to make our tool better and easier to utilize, we consistently develop new features, considering suggestions coming from our users. To start your journey, consider these simple steps:

Step 1: Open the PDF form in our tool by clicking the "Get Form Button" in the top part of this page.

Step 2: With our advanced PDF tool, it is easy to accomplish more than simply fill in blank fields. Try all the functions and make your documents seem sublime with customized text incorporated, or optimize the original input to perfection - all that comes with an ability to insert almost any pictures and sign the document off.

Completing this form calls for care for details. Ensure that every blank is completed correctly.

1. To start off, while completing the dd form 2660 pdf, start in the section that contains the next blanks:

Filling out part 1 in dd 2660 pdf

2. Now that the previous array of fields is complete, you're ready add the essential specifics in b DATE OF CHECK, c CHECK AMOUNT, d ISSUING DSSN, e VOUCHER NUMBER, CHECK DATA a CHECK NUMBER, DO REMARKS, DD FORM AUG, PREVIOUS EDITION IS OBSOLETE, and Adobe Professional X so you're able to proceed to the next part.

Filling in segment 2 of dd 2660 pdf

It is easy to get it wrong while filling in your b DATE OF CHECK, consequently be sure you look again before you decide to finalize the form.

Step 3: After you've looked again at the details in the document, simply click "Done" to finalize your FormsPal process. Acquire the dd form 2660 pdf as soon as you join for a 7-day free trial. Immediately use the pdf document inside your FormsPal account, along with any edits and adjustments being automatically saved! FormsPal is devoted to the personal privacy of our users; we ensure that all personal information handled by our system continues to be protected.

Form Dd 2660 isn’t the one you’re looking for?

Related Documents